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Published on: May 2, 2025
Implications of the COVID-19 pandemic for people with bipolar disorders: A scoping review
Michele Fornaro1, Michele De Prisco1, Martina Billeci1
1Section on Psychiatry, Department of Neuroscience, Reproductive Science and Odontostomatology Federico II University of Naples, Naples, Italy.
Insights
People with bipolar disorder (BD) are highly vulnerable during the COVID-19 pandemic, experiencing impacts on stressors, service use, infection risk, and preventative behaviors. Further research is crucial to understand and address these challenges.
Area of Science:
- Public Health
- Mental Health
- Epidemiology
Background:
- The COVID-19 pandemic has caused significant global health and societal disruption.
- The specific impact on individuals with severe mental illness, such as bipolar disorder (BD), remains under-researched.
Purpose of the Study:
- To conduct a scoping review on the impact of the COVID-19 pandemic on individuals with bipolar disorder (BD).
- To identify key themes and knowledge gaps regarding BD and the pandemic.
Main Methods:
- Systematic search of MEDLINE and EMBASE databases up to April 24, 2021.
- Inclusion of studies covering clinical and public health themes related to BD during the pandemic.
- Adherence to PRISMA-ScR guidelines for scoping reviews.
Main Results:
- Fourteen papers were included, revealing four major themes: COVID-19 stressors' impact on BD, mental health service utilization, SARS-CoV-2 infection risk, and engagement in preventative behaviors.
- Additional areas requiring further investigation were identified.
Conclusions:
- The study confirms the heightened vulnerability of people with BD during the pandemic.
- Further research is needed to compare pandemic impacts on BD patients with pre-pandemic data, the general population, and other severe mental illnesses to guide public health interventions.
Introduction:
The COVID-19 (coronavirus disease 2019)-related pandemic represents a global source of societal and health burden. Yet, the impact of the pandemic on people with severe mental illness, including bipolar disorder (BD), remains unclear, warranting scoping review on the matter.
Methods:
The MEDLINE and EMBASE databases were systematically searched from inception up to April 24, 2021, adopting broad inclusion criteria to assess a variety of clinical and public health themes related to people with a primary diagnosis of BD during the COVID-19 pandemics. The present work complying with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) registered in the Open Science Framework (OSF) repository (https://osf.io/7evpx/).
Results:
Fourteen papers informed the present scoping review. Four major themes were identified: (i) impact of COVID-19-related stressors on BD; (ii) impact of COVID-19 on mental health service utilization among people with BD; (iii) impact of BD on the risk of acquiring SARS-CoV-2 infection; (iv) engagement in preventative behaviors among people with BD. Additional themes warranting further research were nonetheless detected.
Limitations:
Further original studies are needed.
Conclusion:
The present study confirmed the high-vulnerability hypothesis concerning people with BD versus the general population, reinforcing the need for further research related to the COVID-19 pandemic. Additional information is warranted to compare the impact of the pandemic period among BD people against pre-pandemic records, the general population, and other severe mental illnesses, namely people with schizophrenia or major depressive disorder, to inform the public health and the delivery of patient-tailored interventions.
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